Quality Auditing Analyst

Synlink Recruitment Outsourcing Co. Inc.

On-site - Taguig 3-5 Yrs Exp High/Senior High School Full-time

Job Description

Insurance Health & Wellness HMO

Job Requirements

• High school graduate and above; certification in medical billing or healthcare compliance is a plus.
• 3–5 years of experience in US medical billing, with at least 1–2 years in a quality/auditing role.
• Strong knowledge of CPT, ICD-10, HCPCS codes, and payer‑specific billing rules.
• Experience in a call centre environment with exposure to call quality metrics (e.g., AHT, FCR, CSAT).
• Excellent analytical, documentation, and communication skills.
• Proficiency in MS Excel, audit tools, and billing platforms.

Responsibilities

• Conduct audits: Perform internal and external audits of products, processes, and services to check for defects, non‑conformities, and deviations.
• Ensure compliance: <...